运用希浦传导系统解剖指导传导束起搏定位  

Location of conduction bundle pacing guided by anatomy of His-Purkinje conduction system

作　　者：蒋丽梦 苏蓝[1] 黄伟剑[1] JIANG Limeng;SU Lan;HUANG Weijian(Department of Cardiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第一医院心内科,浙江温州325000

出　　处：《实用心电学杂志》2021年第1期18-23,共6页Journal of Practical Electrocardiology

基　　金：浙江省重点研发计划项目(2019C03012)。

摘　　要：近年来,希浦传导系统起搏已成为在心力衰竭需要心室起搏的患者中替代传统右心室起搏的一种可行方法。在术中,术者需要将电极精确定位在希氏束或左束支区域,而能否成功植入起搏电极,很大程度上取决于术者对希浦传导系统解剖分布特点及其心脏结构变异的了解。本文旨在分析房室结区、希氏束及左束支近端的解剖特点,以及传导系统不同解剖结构与传导系统病变发生的关系,为指导希浦传导系统起搏提供参考。In recent years,His-Purkinje conduction system pacing has become a feasible alternative to traditio-nal right ventricular pacing in patients with heart failure requiring for ventricular pacing.Operator is required to place the electrode accurately in the areas of His bundle or left bundle branch,and whether the pacing electrode can be successfully implanted depends to a large extent on the operator s understanding of the anatomical distribution features of His-Purkinje conduction system and variability of cardiac structure.This review is aimed to analyze the anatomical characteristics of atrioventricular node,His bundle and the proximal left bundle branch,and the relationship between different anatomical structures of conduction system and the occurrence of conduction block,which serves as a reference for guiding His-Purkinje conduction system pacing.

关 键 词：希浦系统起搏 传导系统解剖 希氏束 左束支近端 

分 类 号：R540.41[医药卫生—心血管疾病]